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ARK-JSA - Installation of Form Works, Rebars & Concrete Pouring
ARK-JSA - Installation of Form Works, Rebars & Concrete Pouring
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S No. Sequence of Steps Potential Hazards Corrective Action/Recommendation
1. Obtain Work Permit and Scope of work not identified Issuers and receivers shall have in their possession a valid SA work permit certificate.
meet the S.A. Issuer on Permits shall identify the specific work to be performed by the work crew at a specific
the site location
Work Description section of the work permit form shall be completed
Hazard Identification and Control section of the work permit form shall be completed
Review precautions taken and restrictions imposed to control the hazards associated
with the job site and/or work activity
Additional approvals/signatures shall be required for renewed/extended work permits
(see G.I 2.100 and section 4.7)
Attach applicable checklists/forms to the work permit that provide supplemental
information and/or approvals for the particular work activity
A joint site inspection with permit issuer and receiver shall be conducted
2. Site Preparation & Pre- Personal Injury Site supervision shall conduct pre-job (toolbox) craft safety meetings with site
task Meeting personnel to address job-specific safety issues prior to beginning work activity
Supervisor shall inspect site detect and correct unsafe acts and conditions
Supervisory personnel, safety personnel and/ or other qualified staff shall be present at
the job site while work is in progress
Work permits shall be used to control hazardous work activities at all SA facilities and
locations
Adequate number and types of fire extinguishers shall be available at job site
Illumination shall be provided for low light and night work
3. Mobilization of Tools & Accidents by moving equipment Sequence of work shall be discussed during pre-task briefing before the work
Personnel results in property damage & commence.
potential caught-in between/ Work permit and confined space entry permit will be required for all excavations over
struck by & crush injury. 1.2 meters in depth the permit and sign or barricades shall be posted outside confined
spaces
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Ensure gas testing shall performed in every level prior to entry, monitored and recorded.
Provide trained and designated standby men
A flagman, equipped with a safety vest, shall be posted.
Only Certified operators shall operate the equipment.
All operators and drivers shall comply with Traffic Control and Vehicle Safety.
All vehicle/ equipment needs to keep 2 meters away from the excavation.
Barricades & signs shall be installed to caution passing vehicles & workers.
Warning signs and barricade shall be placed before approaching the road/ pipe
crossings excavation, provide approved detour if necessary.
4. Assemble of form Personal injury Wear appropriate PPE (Helmet, Safety Shoes, Safety glasses, working gloves etc..
works, tie rebar and Heavy lifting of rods Use a re-bar tying tool with handle extension.
rebar cutting Ergonomics All protruding reinforcing steel, onto and into which employees could fall, shall be
guarded to eliminate the hazard of impalement.
5. Concrete pouring using Shuttering gets swept away. Remove debris and keep free of falls, slips and trip.
concrete pump Dry skin, irritant contact Always ensure all those involved in the pour are aware of the dangers and have
dermatitis, allergic contact adequate protective clothing, such as overalls, gloves with close fitting cuffs, rubber
dermatitis to severe burns boots and safety helmets.
Eye protection and eyewash are essential on any concrete pour.
Water Curing Falls, slips and trips Remove debris and keep free of falls, slips and trip
6.
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emptied daily
Environmental Pollution Storage and disposal of nonhazardous and hazardous waste in shall be in accordance
with GI 430.001
Waste shall be segregated at all times in accordance with waste handling
requirements.
Separate trash containers, with suitable disposable plastic liners, shall be provided for
food scraps and other organic matter
Refuse trash and garbage shall only be disposed of at approved sites as designated by
SA or local community
Excavation spoils and building materials shall only be disposed of at other approved
sites as designated by SA or local municipality
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Supervisor responsible for explaining contents of this JSA
Name: Signature: Date:
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Sign On: I confirm that the JSA has been explained and its contents are clearly understood and accepted. I also confirm that my required
qualifications to undertake this activity are current and approved. I clearly understand the controls in this JSA must be applied as documented;
otherwise work is to cease immediately and a review is to be completed and work can recommence.
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